Individual provider Active NPI

Mariama Batchilly

  • Nurse's Aide
  • Canal Winchester, OH
National Provider Identifier
1043627102
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
320508230711 Issued in OH
Practice address
3967 Blueglade Dr
Canal Winchester, OH 43110-8309
Phone
(919) 610-0654
NPI assigned
Jul 21, 2014
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 320508230711 OH Primary

Addresses

Primary practice location

3967 Blueglade Dr
Canal Winchester, OH 43110-8309

Mailing address

3967 Blueglade Dr
Canal Winchester, OH 43110-8309
Phone (919) 610-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
320508230711OHMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1043627102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 BLUEGLADE DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108309",
            "telephone_number": "919-610-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 BLUEGLADE DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108309",
            "telephone_number": "919-610-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHILLY",
        "first_name": "MARIAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "320508230711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.